Surgical treatment of congenital bile duct dilatation with involvement of the intrahepatic bile duct: advances, difficulties, and controversy
10.3969/j.issn.1001-5256.2017.02.011
- VernacularTitle:累及肝内胆管的先天性胆管扩张症:外科治疗的进展、难点与争议
- Author:
Shizhong YANG
;
Canhong XIANG
- Keywords:
bile duct diseases;
choledochal cyst;
hepatectomy;
diagnosis
- From:
Journal of Clinical Hepatology
2017;33(2):263-267
- CountryChina
- Language:Chinese
-
Abstract:
Congenital bile duct dilatation may occur in any part of the biliary tree,and the diagnosis and treatment of lesions involving the intrahepatic bile duct is the most challenging issue.Surgical operation plays a dominant role in the management of congenital bile duct dilatation,with the purposes of relieving symptoms and preventing disease progression and malignant transformation.Surgical principles are radical resection of lesions and reconstruction of unobstructed bile drainage.Hepatectomy is the main surgical procedure for congenital bile duct dilatation with involvement of the intrahepatic bile duct,and liver transplantation can be used for diffuse lesions.Therefore,we believe that hepatectomy and early intervention will maximize patients' benefits.
